Description de l’impact de l’information et du consentement sur le vécu de l’accouchement. Étude quantitative réalisée dans un CHU de type III

Abstract : Introduction : The patient has rights, as provided under the Kouchner law of 2002, which recognizes the importance of the patient’s free and informed consent and a duty to provide information. However, lack of consent seems to be a defining attribute in obstetric abuse. The main goal of this study was to determine whether information and consent were obtained by the midwife before performing any type of medical act or care. Consequently, the second objective was to assess the existence of a correlation between information and consent and to determine the role they play in the patient’s childbirth experience. Patients and methods : Observational and descriptive study conducted on 187 women hospitalized in the mother-and-child in a Hospital Centre of Type III with results generated through a self-administered questionnaire. Results : Generally speaking, patients should be better informed before going through a medical procedure and their consent should be more consistently sought after, especially for an episiotomy (36% were informed, 48% gave their consent). A correlation between information and consent was found for every medical act. Moreover, the way the patient experienced childbirth is directly connected to her rights and whether or not she felt they were respected. (p=0,035) Discussion : It would be valuable to apply the latest recommendations regarding Syntocinon® to all medical procedures performed in the delivery room. In other words, informing the patient and getting their consent beforehand, and putting into practice the joint medical decision.
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Submitted on : Tuesday, December 18, 2018 - 4:22:33 PM
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Claire Coves. Description de l’impact de l’information et du consentement sur le vécu de l’accouchement. Étude quantitative réalisée dans un CHU de type III. Médecine humaine et pathologie. 2018. ⟨dumas-01944386⟩

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